You must have JavaScript enabled to use this form. Student Information Last Name: First Name: Middle Address City State - Select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zipcode Email Telephone: Cell Phone: Coyote ID: Are you registered in 6+ units? - Select -YesNo Anticipated Graduation Month - Select -JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Anticipated Graduation Year - Select -20262027202820292030203120322033203420352036203720382039204020412042204320442045 Position & Ranking For which position are you applying? Please choose your top preference in the list below. First Preference: - Select -NoneAdministrative Assistant to the DirectorAdventure (Trips, Rentals, and Ropes)Competitive Sports Event StaffCompetitive Sports Office AssistantCompetitive Sports OfficialGraduate Assistant, AdventureGraduate Assistant, Operations & Risk ManagementGraduate Assistant, Programs at Palm Desert CampusGraphic AssistantGroup Exercise InstructorLifeguard/Swimming InstructorMarketingMembership Services StaffMind and Body InstructorOffice AssistantPersonal TrainerProgram Assistant (Palm Desert Campus)Ropes (Leadership Challenge Center and Climbing Wall)Student Equipment Maintenance CustodianWell-being Student Assistant Certifications Select all that apply CPR/AED First Aid Other Other... CPR/AED Exp. Dat: First Aid Exp. Date: Other Exp. Date: Other... Exp. Date: Eligibility/Work Status Are you eligible to work in the United States? - Select -YesNo Have you ever been dismissed from employment? - Select -YesNo If yes, please explain: Do you have a minimum cumulative and quarterly GPA of 2.0 or above? - Select -YesNo Do you have College Work Study? - Select -YesNo If yes, what is your award amount? If you've worked at CSUSB before, list the last department worked: What interests you in this position? What previous experience do you have that is relevant to this position? Please upload a resume. Resume: One file only.Allowed types: gif jpg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 ogg wav bz2 dmg gz jar rar sit svg tar zip.The accumulated size of all files in this form cannot exceed 2 MB.